MEDICARE: DR. BRETT CAMERON DUNNILL D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0401410542	VA

General Provider Information

NPI Number	:	1538229083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRETT CAMERON DUNNILL D.D.S.

Provider Business Mailing Address
First Line	:	111 IONSBOROUGH ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-6691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 BULIFANTS BLVD STE E
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-5733
Country	:	US
Telephone Number	:	757-345-5500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/23/2020

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